Understanding The Costs Care Act 2014 Understanding The Costs Sarah Fogden

Understanding the Costs Overall Aim Context Social Care reform Funding Reform Behaviour

Overall Aim To have a common view – Each Council /Adass/LGA/DoH that best reflects what the real impact of social care and funding reform will be – locally as well as nationally. We need this information not only to plan nationally but also to plan locally

Context Original impact of funding and social care reform – ran into £ billions Preliminary results suggest impact will be much more than this – this on top of Huge reductions in spending – and Growing need – yet fewer people supported So crucial to have local and national assessments - of what the impact will be backed up by local and national evidence

Financial Impact – DoH Estimate

Social Care Reform 2015-16 Dept. of Health Impact assessment Published May 23rd 2014

Care Reform DoH Impact Assessment

Social Care Reform 2015-16 Carers - Assessment £22m. Carers - Services £47m in 2015-16 to £132m by 2018-19

Social Care Reform 2015-16 Advocacy £14.5m to £67m by 2018-19 Information & Advice?? Eligibility at substantial £25m How much of an issue is this going to be?

What should you be doing? Look at the Ready Reckoner for funding on Programme Office site Start comparing your estimated allocation with your estimated costs i.e. Oxfordshire Carers Share your estimates with the Programme Office, don’t wait for the next stocktake

Funding Reform 2016-17 Care Account & Care Cap Higher threshold for paying for Care How many self funders will have their care paid for by the authority? Initial DoH impact £0.36bn

The Surrey model Complex spreadsheet Models all the factors that influence whether a client will be funded by the authority Income Wealth Pathways/length of stay Cost of placements/cost of home support

Working Age Adult Significant impact. £200m to £500m but not as significant as the Older Persons Threshold and Cap no one has yet decided how the arrangements for Working Age people will work. Concentrate on over 65s

Reform & behaviour How many self funders and carers will come forward? In both cases the impact will be influenced by the behaviours Recommend that dialogue/survey is undertaken with carers and self funders Whilst people’s actual behaviour might differ to what they may say in a survey – it is still better to have this information than none.

Summary Overall Aim - common view nationally and locally of likely impact We are talking about £bns - so crucial to have local evidence – do your own modelling – Care Reform & Funding reform  Prioritise the work on 65 Plus Share information & Learn from each other